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Home My WebLink AboutNCG140342_MONITORING INFO_20190305STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. IV DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOL DATE ❑ Cab! / � 3 05 YYYYMMDD ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER 11 SUBMIT TO CENTRAL OFFICE* II General Permit No. NCG140000 Calendar Year 2018 'Report ALL WASTEWATER monitoring data on this form (include "No RoWl"No Discharge" and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year. Certificate of Coverage No, NCG14 00® 2❑ Facility Name: Hatchery County: Alamance Phone Number: (336 ) 996-2841 Certified Laboratory Prism Lab Lab # 402 Lab # Total no. of outfalls monitored 1 Wastewater (WW) Discharge Outfall No. 001 Does this outfall discharge WW to SA waters? Yes ❑ No ❑✓ Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑✓ Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ✓❑ If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7010 not available ❑ Does this outfal( discharge WW to Trout jr) designated waters? Yes ❑ No [Z] Were there any limit violations in the calendar year? Yes ❑ No ❑✓ Outfall No. Daily Flow Rate, pH, TSS, SS, Non -Polar O&G (EPA Method 1664 cfs SU mgll mill (SGT-HEM)), mgll 001 flappikable Standard Effluent HOW or ORW 50% of 7Q10 freshwater 6.0-9.0 30 HOW, ORIN, SA, No Limit Limitations HOW �� 59, PNa or any Trout Indicate NO FLOW if applicable saltwater 6.8-$ 5 HOW ! ORIN a Te, or i � Samples above benchmark subject to Tiered Responses Daily Maximum o 10 Date 3 Sample it, Collected, molddl r ri 3/14/2018 PW 001 NO FLOW .. 6/29/2018 001 NO FLOW �]NIS GC 9118/2018 001 8.3 <5.0 } r u 12/27/2018 NO FLOW Permit Date 8/112017 — 6130/2022 Last Revised 8-22-2017 Certificate of Coverage No. NCG14 ®1:37Nq Z CERTIFICATION "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," [Required by 40 CFR §122.22) Signature Date o Mail Annual Summary Wastewater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in D WR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn. DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No. NCG140000 Calendar Year 2018 "Report ALL STORMWATER monitoring data on this form (include "No Flow 1'No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEo by MARCH 1 of each year. Certificate of Coverage No. NCG14 0❑ff ]C Facility Name: Hatchery County: Alamance Phone Number: (336 ) 226-2517 Certified Laboratory Prism Lab Lab # 402 Lab # Total no. of SDOs monitored 1 Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No 0 Is this outfall currently in Tier 2 for any parameter? Yes ❑ Nod]✓ Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑� If this outfall was in Tier 2 last year, was monthly monitoring discontinued? RECEIVED Yes, enough consecutive samples below benchmarks to decrease frequency p MAR 0 4 2019 Yes, received approval from DEMLR to reduce monitoring frequency I❑ CENTRAL FILES Other ❑ 011VIR Outfall No. Total Rainfall, inches Total Suspended p Solids (TSS), m ll p H SU Non -polar O&G (EPA Method 1664 (SGT-HEM)), mgll (VMA) napplicable New Motor Oil Usa a allmo. g (g 1 if applicable Stormwater Benchmarks lntlfcare NO FLOW i/ applicable Circle Benchmark .� 001�0 A 6.0-9. V ,� � >66 p allmo. average requires TSS and Non -polar OSGmonlioring Date Sample` Collected, molddl r. ''' ' I .�a ' Im I 3/14/2018 001 NO FLOW 6/29/2018 NO FLOW 9/18/2018 001 <5.0 8.3 12/27/2018 NO FLOW Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 JL3'F-YQ CERTIFICATION "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information}, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CF,R §122.22] Signature Date /1 Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct — Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 i 1 7 i , . N ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER it SUBMIT TO CENTRAL OFFICE* 11 General Permit No. NCG140000 Calendar Year 2017 "Report ALL STORMWATER monitoring data on this form (include "No Flow'/"No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by,MA.8CU, . pf gpelpyear. Certificate of Coverage No. NCG 14 MAR 0 7 2018 Facility Name: Hatchery rF-7NT RAt FILES County: Alamance DWR SECTION Phone Number:( 36 )226'2517 Total no. of SDOs monitored 1 Certified Laboratory Prism Lab Lab # 402 Lab # Stormwater Discharge Outfall (SDO) No. 001 VMA Outfall? Yes ❑ No ❑✓ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑✓ Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes, enough consecutive samples below benchmarks to decrease frequency ❑ Yes, received approval from DEMLR to reduce monitoring frequency 0 Other ❑ Outfall No. Total Rainfall inches Total Suspended Solids ( ) m /I pH, SU Non -polar O&G.' (EPA Method SGT-HEM 1664TSS, ( )), mgll (VMA) lrapplicable New. Motor Oil Usage (gallmo.) flappllcablo Stormwater Benchmarks frtdleata NO FLOWN applicable Circle Benchmark � Or►'�A 0 v 6.�-a.� 1 � >6s gallmo. average requires Tss and Non-polar0&0 monitoring Date Sample Collected, molddl r NEWS f. 3/1/2017 001 No Flow 6/29/2017 001 No Flow 9/7/2017 001 No Flow 12/18/2017 001 No Flow Permit Date 8/112017 — 6130/2022 Last Revised 8-22-2015 Certificate of Coverage No. NCG14 [d[ EgI CERTIFICATION "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." [Required by 40 CFR §122.22] Signature Date 9-(,?-7(1� Mail Annual Summary Stormwater DMR to the NCDEQ Central Office: Note the address is correct - Central Files is housed in DWR (not DEMLR) N.C. Department of Environmental Quality (DEQ) Division of Water Resources Aftn: DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at: (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 t .a PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NC6140000 CERTIFICATE OF COVERAGE NO. NCG 140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Michael Miller CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2017 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: [_]SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfall No. Date Sample Collected" (mm/dd/yr) Type of Wastewater (VIE, RM, MD} pH (standard) Total Suspended Solids trng/L) Settleable Solids (mL/L) TPH using method 1664A SGT-NEN16 (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day] - - - 6-93,4 303•5 53 (15)6 - - 001 6/29/2017 NO FLOW GDTFUAL FILE DWR SEC Fla I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons direct res onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. i am aware tot thegnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee} Permit Date: 7/1/2010-06/30/2015 7 41ll (Date) Last Revised 07/13/11 Page 2 of 2 ii 1 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Michael Miller CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2017 SAMPLE QUARTER: ❑]ul-Sept ❑Oct -Dec ®!an -March ❑April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? []YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Outfail No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (MLA) TPH usingDischarge method 1664A SGT-HEIV16 (mg/L) Duration (minutes) Total Flow (gallons/day), - - - 6-93.4 303.5 53 (15)6 - - 001 3/1/2017 NO FLOW RECEIVED ul DWR SE T1 N ` if wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" Here. Please make sure to mark the sample quarter above. Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-05/30/2015 Last Revised 07/13/11 Page 1 of 2 t s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons erectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am a%Wre th4tt therg are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 sl2 f(7 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 RECEIVEDSAMPLE COLLECTION YEAR: 2016 FACILITY NAME: Hatchery Rd SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec []Jan -March ❑April -June PERSON COLLECTING SAMPLES: Michael Miller JAN 2 3 2017 COUNTY: Alamance CERTIFIED LABORATORY: Research & Analytical Lab # 34 PHONE NO. (704) 372-2930 CENTRAL FILES ADD TO LISTSERVE? ❑YES ®NO EMAIL: LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION DISCHARGING TO CLASS: ❑SA ❑HQW OPTIONAL INFO: Part A: Wastewater 11Mnnitnrin¢ Reouirements ❑PNA ❑Trout ®Other Outfall No. Date Sample Collected" (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A SGT-HEM' (mg/L) Discharge Duration (minutes) Total Flow (gallons/day) - - - 6-93,4 303,5 53 (15)6 - - 001 12/23/2016 NO FLOW If wastewater systems have not discharged in this quarter — report "No Flow" or -No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), flaw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 TSS limits arc.?0 mg/L for wastewater discharges to HQW waters,10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas_ TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B -0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dir ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awe that }ere ^ significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 r I (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: C R E[.,e� -s I']l1 tr�A CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES []NO Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO: Out#all No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A S m L� Duration (minutes) Total Flow 7 (gallons/day} - - - 6-93.4 303.5 53 (15)6 - - 001 9/27/2016 RM 062 4 z-,z_otb z ( ED li ' If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3 If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. ° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFIG4TION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware thaAthereAre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 (o I-ZYII (Date) Last Revised 07/13/11 Page 2 of 2 f PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec []Jan -March ®April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: []SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfall No. Date Sample Collected" (mm/dd/yr) Type of Wastewater z {VE, RM, MD} pH {standard] Total Suspended Solids (mg/L) Settleable Solids {mL/L} TPH using method I664A SGT-Ii ) (mg/L Discharge Duration {minutes} Total Flow 7 {gallons/day} - - - 6-93'4 303's 53 (15)6 - - 001 6/24/2016 RM No Flow _ _lilt t' w tTt"i n 1C11 CCZ f L+L'"�+ L i�_AF v ., °J AV AV If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge' here. Please make sure to mark the sample quarter above. Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 Isi 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, .but in:,t.ad is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. 7 Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. if the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am ayrge thatAherjejare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical Lab p 34 LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR: 2016 SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW OPTIONAL INFO: ❑PNA ❑Trout ®Other Outfall No. Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD} pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEIW (mg/ L) Duration (minutes) Total Flow (gallons/day)7 - - - 6-93,4 303.5 53 (15)6 - - 001 3/29/2016 RM No Flow f"` 1� 11 � If"1 DE= n1711 MAY10.�, a ad.. I_ I i KA L. f-I L S MA y 0 , - v R 8 ECTi n • �— � vi If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. Z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled- 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-9.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 IV +d� 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 026.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Fifes 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUSTSIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am a%yare that ypere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." e of Permittee) Permit Date: 7/1/2010-06/30/2015 ze(24 lL (Date) Last Revised 07/13/11 Page 2 of 2 3 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report Y GENERAL PERMIT No. NC6140000 CERTIFICATE OF COVERAGE NO. NCG140342 SAMPLE COLLECTION YEAR: 2015 FACILITY NAME: Hatchery Rd SAMPLE QUARTER: ❑Jul -Sept ®Oct -Dec []Jan -March ❑April -June PERSON COLLECTING SAMPLES: Tony Hardison RECE!F V NE : AlO. mance 372-2930 CERTIFIED LABORATORY: Research & Analytical Lab # 34 FEB b 3 2018NDD TO LISTSERVE? ❑YES ®NO EMAIL: LIMIT VIOLATIONS? YES ❑ NON CENTRAL �I�EDISCHARGING TO CLASS: [_]SA❑HQW ❑PNA [:]Trout ®Other. �1NR SECTION�PTIONAL INFO: Part A: Wastewater Monitoring Requirements Outfall No. Date Sample i Collected (mm/dd/yr) Type of Wastewater I (VERMMD) , , pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) T?H usingDischarge method 1664A 3 (mg/L) (mg/L) Duration (minutes) (minutes) Total Flow (gallons/day) - - - 6-93'4 303'5 53 (15)6 - - 001 12/17/15 RM N/A N/A N/A 1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. " pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Proc2ss wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but iristead ;s subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action_ Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE" WITHIN 30 DAYS OF RECEIPT OF SAMPLE OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 907-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dirotly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am av4re,that WereAre significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." � &f / b 7 A (Signature of Permittee) (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO. NCG 140342 FACILITY NAME: Hatchery Rd RECEIVED PERSON COLLECTING SAMPLES: Tony Hardison (� CERTIFIED LABORATORY: Research & Analytical Lab # 3� T 2 3 2015 CENTRAL FILES LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION Part A: Wastewater Monitorine Reauirements SAMPLE COLLECTION YEAR: 2015 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: Alatnance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? [—]YES ®NO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW OPTIONAL INFO: ❑PNA []Trout ®Other Outfall No. Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD)' pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A 5GT-HEM" (mg/L) Duration (minutes) Total Flow , (gallons/day) - - - 6-93,4 303'5 53 (15)6 - - 001 09/29/15 RM 7.6 42.5 <.1 N/A N/A N/A _ If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas_ TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. Flew ratMcan be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 0213.0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware }iat tWe are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 -(all-I /t) (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical LIMIT VIOLATIONS? YES ❑ NO Part A: Wastewater Monitoring Requirements r SAMPLE COLLECTION YEAR: 2015 RECEIVED SAMPLE QUARTER: ❑Jul -Sept ❑Oct -Dec ❑Jan -March Lab # 34 CENTRAL ALES ADD TO LISTSERVE? DYES ®NO EMAIL: C, Dlr`VIR SECTION DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA ❑Trout ®Other_^ = OPTIONAL INFO: �0 JUL 2 4 2015 COUNTY: Alamance PHONE NO. (704) 372-2930 ®April -June t'r'1 Outfall No. Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, IUD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow 7 (gallons/day) - - - 6-93,41 303,5 53- 001 6/26/15 RM No Flow If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. ° pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, bu�Aead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. T Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARYJINCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dir responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awargjthat 040 a rie;Ognificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 _:z f6/" 3- (Date) Last Revised 07/13/11 Page 2 of 2 PROCESSWASTEWATER — Quarterly Discharge Monitoring Report CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical LIMIT VIOLATIONS? YES N NO Part A: Wastewater Monitoring Requirements GENERAL PERMIT NO. NCG140000 SAMPLE COLLECTION YEAR: 2015 2 � SAMPLEQUARTER: Aiaman a []Jul -Sept ❑Oct -Dec ®Jar► -March ❑April -June K�cE��E COUNTY: �* Lab # 34 1 9 2�15 .PHONE NO. (704) 372-2930 MA`( ADD TO LISTSERVE? EIYES ®NO EMAIL: _ C' rE;�tTRAL FILES DISCHARGING TO CLASS: OSA EHQW ❑PNA [Trout ®Other, DU,IR SECTtC)N OPTIONAL INFO: Out#aq No. Date Sample Co#lected (mm/dd/yr) Type of Wastewater z (VE, RM, MDj pH (standard) Total Suspended Solids (mg/L) SettleableTPH Solids (mL/L) usingDischarge method 1"" SGT-HEa (mg/L) Duration (minutes) Total Flow (gaiions/day), - - - &91, low 53 (15)6 - - 001 03/27/15 RM 7.02 37 <0.1 N/A >1 >1 If wastewate► systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, 5ueinstead is subject to benchmarks -and provisions of Part IV, Section A, including the Tiered Response Action. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow report on a case -by -case basis - MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY INCLUDING ALL "NO FLOW" "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons dire y responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief, true, accurate, and complete. I am awgr�that th#e "significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 S/� /- )- (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES [—]NO Part A: Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR: 2014 SAMPLE QUARTER: ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? DYES ®NO EMAIL: DISCHARGING TO CLASS: [:]SA ❑HQW ❑PNA [—]Trout ®Other OPTIONAL INFO: Outfall No. Date Sample Collected) (mm/dd/yr] Type of Wastewater [VI, RM, MD] pH (standard) Total Suspended Solids (mg/L] Settleable Solids (mL/L] TPH usingDischarge method 1664A SGT /L) (melt] Duration (minutes) Total Flow (galleons/day)7 - - - 6-93,4 303.5 53 (15), - - 001 9/24/14 RM No Flow 14 CENTRAL Fll_tt� I If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. 2 Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. 4 pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saltwaters. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 x r. F .. i. .. �. I � ' � . f . i ' ' I a .. - ' � � � . f '4y �� 3 I I ` r. `g r r � ! � � 1 ' 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW" -"NO DISCHARGE_"I WITHIN_30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons erectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am avore th there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 7/1/2010-06/30/2015 412-rtty (Date) Last Revised 07/13/11 Page 2 of 2 3 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE NO. NCG140342 FACILITY NAME: Hatchery Rd PERSON COLLECTING SAMPLES: Tony Hardison CERTIFIED LABORATORY: Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO E Part A: Wastewater Monitorin¢ Requirements DECEIVED JUL 18 2014 CENTWki- FILES SAMPLE COLLECTION YEAR: 2014 DWOIBOG SAMPLE QUARTER: ❑Jul -Sept ❑Ott -Dec ❑Jan -March ®April -June COUNTY: Alamance PHONE NO. (704) 372-2930 ADD TO LISTSERVE? [—]YES ENO EMAIL: DISCHARGING TO CLASS: ❑SA ❑HQW ❑PNA [I]Trout ®Other OPTIONAL INFO: Outfall No. Date Sample i Collected {mm/dd/yr} Type of Wastewater (VE, RM, MD)Z PH (standard) Total Suspended Solids [mg/L} Settleable Solids [mL/L} TPH using method 1664A 5GT-NEM6 (mg/L) Discharge Duration [minutes} Total Flow (gallons/day)' - - - 6-93.a 303.5 53 (15)6 - - 001 6/26/14 RM 9.25 2 N/A N/A >1 >1 001 6/26/14 RM 9.35 4 N/A N/A >1 >1 Sample for Both Outfalls were sampled in the wrong location, they were sampled from onsite holding areas, not at the point of discharge. ` If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here. Please make sure to mark the sample quarter above. Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 z Report the abbreviation for the type of Authorized Wastewater Discharges here: Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD). Report more than one type if the waste -stream is commingled. 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring. pH limits are 6-9 S.U. for wastewater discharges to freshwaters, and 6.8-8.5 S.U. for discharges to saitwaters. 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications. e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VIVA areas. TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action. ' Flow rate can be measured continuously or calculated. Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B .0224. Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ. If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis. MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO: Division of Water Quality ^ Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified pJe!sj Eficant perly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons irectlyfor gathering the information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware tji4l there penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." c2 ' "If (5i ature of erm€ttee) (Date) Permit Date: 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 Vk RECEIVED APR 15 2014 CENTRAL FILE DWOIBOG STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG 140000 CERTIFICATE OF COVERAGE No. NCG140342 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Concrete Supply Co., LLC is hereby authorized to discharge process wastewater and stormwater from a facility located at Concrete Supply Co. -- Hatchery Road Plant 2250 Hatchery Road Burlington Alamance County to receiving waters designated unnamed tributary to Gum Creek, a class WS-V;NSW water in the Cape fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG140000 as attached. This certificate of coverage shall become effective April 14, 2014. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day April 14, 2014 for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission v m t � a Division of Water Quality 1 Surface Water Protection I National Pollutant Discharge Elimination System NCDENR NO" ~°"^�°' EM'IRONM[!R u1D NR,MAL R[101tlC. PERMIT NAME/OWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Year Month Day I. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N I C I S 10 1 1 1 1 1 1 N I C I G I 1 14 10 3 4 2 II. Permit status prior to requested change. a. Permit issued to (company name): CEMEX Construction Materials Atlantic LLC b. Person legally responsible for permit- Larry McSwain First MI Last - - VP/GM Carolinas Title 101 Young Court Permit Holder Mailing Address Greenville SC 29615 city State Zip (864) 605-9877 (864) 605-9869 Phone Fax c. Facility name (discharge): CEMEX -- Hatche Rd. d. Facility address: 2250 Hatchery Rd Address Burlington NC 27215 city State Zip e. Facility contact person: Johnny M TapiaT (803) 327-2494 First / MI / Last Phone III. Please provide the following for the requested change (revised permit). a. Request for change is a result of ® Change in ownership of the facility ® Name change of the facility or owner If other please explain: b. Permit issued to (company name): Concrete Supply Co., LLC ---------- -- c. Person legally responsible for permit: Henry _ Batten First Ml Last � President VV LL55 Title P.O. Box 5247 NR Q-WATIF_FRI: Permit Holder Mailing Address Charlotte NC 28299 LOcity state Zip �r.t3rerwt, 704) 372-2930 He2a.BattcnpConcretcSupplyCo.com Phone E-mail Address / d. Facility name (discharge): Hatchery Rd e. Facility address: 2250 Hatchery Rd Address Burlington NC 27215 city State Zip f Facility contact person: Johnie Alexander First MI Last Johnie.Alexander r@ConcreteSupplyCo. 704 372-2930 com NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 IV. Permit contact information (if different from the person legally responsible for the permit) Permit contact: Johnie Alexander First MI Last Environmental Manager Title P.O Box 5247 Mailing Address Charlotte NC 28299 City State Zip (704) 372-2930 Johnie.Alexanderoconcretesupplyco.com Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to this ownership or name change? x Yes ❑ No (please explain) VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: X This completed application is required for both name change and/or ownership change requests. X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is ree ul ired for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The certifications below must be completed and signed by both the permit holder prior to the change, and the new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION (Permit holder prior to ownership change): I, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. c Signature Date APPLICANT CERTIFICATION I, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. i Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Water Quality Surface Water Protection Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Revised 712008 M'�- NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Mr. Johnie Alexander Concrete Supply Co,, LLC P.O. Box 5247 Charlotte, NC 28299 Dear Mr. Alexander: John E, Skvarla, III Secretary April 14, 2014 Subject: NPDES General Permit NCG140000 Certificates of Coverage -Multiple Concrete Supply Co., LLC Formerly CEMEX Construction Materials Atlantic, LLC Counties - MuItiple Division personnel received your request to revise your stormwater permit Certificates of Coverage to accurately reflect your new company and/or facility name. Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The terms and conditions contained in the General Permit remain unchanged and in full effect. These revised Certificates of Coverage are issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 807-6300. Sincerely, ORIGINAL SIGNED Bg KEN PICKLE for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Mooresville RO, Z. Khan Winston-Salem RO, M. Gantt Fayetteville RO, B. Cole Asheville RO, L. Herbert Raleigh RO, J. Holley Division of Energy, Mineral, and Land Resources Energy Section • Geological Survey Section - Land Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - 919.707-92001 FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet ht�/nortal.ncdenr,orglweb/Ir/ An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Deborah Reese, DEMLR Budget Office — please update billing info Stormwater Permitting Program Files Central Files Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202 Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602 STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. Iv b3L/c'� DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ d �I � � 3 D 5 YYYYMMDD ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — WASTEWATER SUBMIT TO CENTRAL OFFICE' General Permit No NCG140000 Calendar Year 2018 Report ALL WASTEWATER monitoring data on this form (include No Flow"I No Discharge and Limit Violations) from the previous calendar year to the DEQ by MARCH 1 of each year Certificate of Coverage No NCG14 00 3❑® 2❑ Facility Name Hatchery County Alamance Phone Number (336 ) 9962841 Certified Laboratory Prism Lab Lab # 402 Lab # Total no of outfalls monitored 1 Wastewater (WW) Discharge Outfall No 001 Does this outfall discharge WW to SA waters? Yes ❑ No El Does this outfall discharge WW to SB or PNA waters? Yes ❑ No 0 Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑✓ If so, what is the 7Q10 flow rate? or Tidally Influenced waters, 7Q10 not available ❑ Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ✓❑ Were there any limit violations In the calendar year? Yes ❑ No ✓❑ Outfall No Daily Flow Rate, pH, TSS, SS, Non -Polar O&G (EPA Method 1664 001 cfs SU mgll m111 (SGT-HEM)), mg/1 if applicable Standard Effluent HQWorORW 50% of 7Q10 freshwater 6 0-9 0 30 HOW ORW SA No Limit Limitations HOW 20 SB PNA orany Trout indicate NO FLOWif saltwater 5 Samples above Benchmark applicable 6 8-$ 5 HQW l ORIN and Tr or NA subject to Tiered Responses Daily Maximum 10 15 Date * f l � z`, x� Sam le p p4 r » { S.r g= d F r1 tt r E r y5� s (t �� (' r�r , ' ;' �r,r EIl'i i� Collected, ( 4 Yt.0 ddy Eir 5i i9ti �ry i d@F' 9 7di� it'd # :� H YI 'fi t r f:r ¢k Ri d H + �s l 1 2 d mV/�lddlj r F ` eil�Isl g� 3/14/2018 PW 001 NO FLOW _ , � \ r�r 6/29/2018 001 NO FLOW 9/1812018 001 83 <5 0 tJ1fV>\ v4—" 12/27/2018 NO FLOW Permit Date 8/112017 — 6/30/2022 Last Revised 8-22-2017 rt Certificate of Coverage No N CG 1 4 0JC1-YFZ CERTIFICATION I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " [Required by 40 CFR §122 22) Signature Date Mail Annual Summary Wastewater DMR to the NCDEQ Central Office Note the address is correct -- Central Files is housed in DWR (not DEMLR) N C Department of Environmental Quality (DEQ) Division of Water Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEML.R Stormwater Permitting Staff in the Central Office at (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2017 ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE* General Permit No NCG140000 Calendar Year 2018 *Report ALL STORMWATER monitoring data on this form (include "No Flo&'/"No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by MARCH 1 of each year Certificate of Coverage No NCG14 E 3[]®2❑ Facility Name Hatchery County Alamance Phone Number (336 ) 226-2517 Certified Laboratory Prism Lab Lab # 402 Lab # Total no of SDOs monitored 1 Stormwater Discharge Outfall (SDO) No 001 VIVA Outfall? Yes ❑ No ❑✓ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No ❑✓ Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓ RECEIVED If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes enough consecutive samples below benchmarks to decrease frequency ❑ MAR 0 4 zoig Yes received approval from DEMLR to reduce monitoring frequency 13 CCNTfRAL l~Ilrl✓8 Other Outfall No Total Rainfall, inches Total Suspended Solids (TSS), m II pH, SU Non -polar 0&G (EPA Method 1664 (SGT-HEM)), mgll (VMA) lrappbcable New Motor Oil Usage (gallmo ) If applicable Stormwater Benchmarks fndreate NO FLOWrr applicable Circle Benchmark , 001C�0 6 �-g 0 1 $ >55 g aflmo averago roqulrca 755 and Non polar O&G monitoring Date Sample Collected, I molddlyr �' ,�, I' � � "' 6 r Egym , ul � s,r i ,k } a� a g{ �f § I i"II l) �Y�r , t $r8�}ii v =6�H 1 erf�,�� _ ��,V, 1 :'sii ial P s P 3/14/2018 001 NO FLOW 6/29/2018 NO FLOW 9/18/2018 001 <5 0 83 12127/2018 NO FLOW Permit Date 8/1/2017 — 6/3012022 Last Revised 8-22-2015 Certificate of Coverage No NCG14 �E31C� CERTIFICATION " 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information the information submitted is, to the best of my knowledge and belief, true accurate, and complete I am aware that there are significant penalties for submitting false rnformatioq including the possibility of fines and imprisonment for knowing violations " (Required by 40 CF,R §122 Signature Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office Note the address is correct — Central Files is housed in DWR fnot DEMLR) N C Department of Environmental Quality (DEQ) Division of Water Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 % ANNUAL SUMMARY DISCHARGE MONITORING REPORT (DMR) — STORMWATER SUBMIT TO CENTRAL OFFICE" General Permit No NCG140000 Calendar Year 2017 'Report ALL STORMWATER monitoring data on this form (include No RoWT'No Discharge" and Benchmark Exceedances) from the previous calendar year to the DEQ by.MA6PH,.1 pf each -year Certificate of Coverage No NCG14 ®Q®2❑ MAR 0 7 201E Facility Name Hatchery r PNI RAl_ FILES County Alamance DWR SECTION Phone Number (336 ) 226-2517 Total no of SDOs monitored 1 Certified Laboratory Prism Lab Lab # 402 Lab # Stormwater Discharge Outfall (SDO) No 001 VMA Outfall? Yes ❑ No []✓ Is this outfall currently in Tier 2 for any parameter? Yes ❑ No Was this outfall ever in Tier 2 during the past year? Yes ❑ No ❑✓ If this outfall was in Tier 2 last year, was monthly monitoring discontinued? Yes enough consecutive samples below benchmarks to decrease frequency ❑ Yes received approval from DEMLR to reduce monitoring frequency EJ Other ❑ Permit Date 8/1/2017 — 8130/2022 Last Revised 8-22-2015 Certificate of Coverage No NCG14 ❑d ❑3 ®gj CERTIFICATION I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information including the possibility of fines and imprisonment for knowing violations " [Required by 40 CFR §122 22] Signature Date Mail Annual Summary Stormwater DMR to the NCDEQ Central Office Note the address is correct — Central Files is housed in D WR (not DEMLR) N C Department of Environmental Quality (DEQ) Division of Water Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Central Files Telephone (919) 807-6300 Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at (919) 707-9220 Permit Date 8/1/2017 — 6/30/2022 Last Revised 8-22-2015 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Michael Miller CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater MnnitnrinQ Renuirements SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER []Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW OPTIONAL INFO ❑PNA ❑Trout ®Other Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A S (mg/L) Discharge Duration (minutes) Total Flow 7 (gallons/day) - - - 6-93 ° 303 5 53 (15)6 - - 001 6/29/2017 NO FLOW in li 4 CENTRAL FILE 'If wastewater systems have not discharged in this quarter— report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter above z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste stream is commingled 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8 8 5 S U for discharges to saltwaters Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VNIA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ if the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regionat Office may require an annual flow report on a case by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons direct responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware ttrpt thei�rognificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " of Permittee) Permit Date 7/1/2010 06/30/2015 'f 4-yIf7 (Date) Last Revised 07/13/11 Page 2 of 2 ti PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Michael Miller CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Reauirements SAMPLE COLLECTION YEAR 2017 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW OPTIONAL INFO ❑PNA ❑Trout ®Other. Outfa[I No Date Sample i Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)2 pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HEM' (mg/L) Duration (minutes) Total Flow (gallons/day), - - - 6-93 4 303 5 53 (15)6 - - 001 3/1/2017 NO FLOW � LUIf CENTRA I Ell ES DWR SE T N If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3 if an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RD staff notifies you to continue monitoring 4 pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 5 U for discharges to saltwaters Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 L 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow report on a case by case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those personsPirectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am a%Wre th t therg are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " ure of Permittee) Permit Date 7/1/2010-06/30/2015 %l17 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 RECEIVEDSAMPLE COLLECTION YEAR 2016 FACILITY NAME Hatchery Rd SAMPLE QUARTER ❑Jul -Sept ®Oct -Dec []Jan -March []April -June PERSON COLLECTING SAMPLES Michael Miller JAN 2 3 2017 COUNTY Alamance CERTIFIED LABORATORY Research & Analytical Lab # 34 PHONE NO (704) 372-2930 CENTRAL FILES ADD TO LISTSERVE7 ❑YES ®NO EMAIL LIMIT VIOLATIONS? YES [:]NON DWR SECTION DISCHARGING TO CLASS []SA ❑HQW OPTIONAL INFO Part A Wastewater Monitorine Reauirements ❑PNA ❑Trout ®Other Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT-HE& (mg/L) Duration (minutes) Total Flow 7 (gallons/day) - - 6-93 4 303 5 53 (15)6 - - 001 12/23/2016 NO FLOW r� > IT 7u �[ fF !1 W7-1 W n�U1 u " u If wastewater systems have not discharged in this quarter— report' No Flaw" or "No Discharge` here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3 if an effluent limit is exceeded twice in a row the permittee is required to institute monthly monitoring for that parameter for six months unless DWQ RO staff notifies you to continue monitoring pH limits are 6 9 S U for wastewater discharges to freshwaters, and 6 8 8 5 S U for discharges to saltwaters Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 TSS limits arc 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but insfead is subject to benchmarks and provisions of Part IV Section A, including the Tiered Response Action 7 Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permrttees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permrttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permrttee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by case bans MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807 6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons dir ctly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete 1 am awaj+ye that Oere3trg significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) Permit Date 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES CREGIS`M%'TlA CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES [:]NO Part A Wastewater Monitoring Requirements SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE? [—]YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW OPTIONAL INFO ❑PNA ❑Trout ®Other, Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard} Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A 6 SGT-HEM (mg/ L] Discharge Duration (minutes) Total Flow 7 {gallons/day] - - 6-93 4 Y7.L{1 303 5 53 (15)6 - - 001 9/27/2016 RM r f 3�,� GO 1 C rj 7 l 0 G3 R 2-I Z_ot to M r1 3 2S- Q 5 71 7[ M )lI If wastewater systems have not discharged in this quarter — report ' No Flow" or' No Discharge' here Please make sure to mark the sample quarter above z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3 If an effluent limit is exceeded twice in a row the permrttee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring ` pH limits are 6 9 S U for wastewater discharges to freshwaters and 6 8-8 5 S U for discharges to saltwaters Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ and the DWQ Regional Office may require an annual flow report on a case by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFIC4TION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware thaA there`are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) Permit Date 7/1/2010 06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME HatcheryRd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Reouirements SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ❑Jan -March ®April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [—]SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater z (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A 5GT-NE(mg/ L) Discharge Duration (minutes) Total Flow gallons/day) - - - 6-93 ° 303 5 53 (15)6 - 001 6/24/2016 RM No Flow _ RP t�_!.lvtu G:-:Kl-rnAI Cil CC nXAIR 4F T 4 .v fyr� ' If wastewater systems have not discharged in this quarter — report 'No Flow or No Discharge" here Please make sure to mark the sample quarter above z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VEr) Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3 if an effluent limit is exceeded twice in a row, the permfttee is required to institute monthly monitoring for that parameter for six months unless DWQ RO staff notifies you to continue monitoring ° pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwaters Permit Date 7/1/2010 06/30/2015 East Revised 07/13/11 Page 1 of 2 5 TS5 limits are 20 mg/L for wastewater discharges to HQW waters 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, _but ii tiad is subject to benchmarks and provisions of Part IV Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE"] WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mall Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am ayvWe that4here.,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) Permit Date 7/1/2010-06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS? YES [:]NO Part A Wastewater Monitonne Reauirements SAMPLE COLLECTION YEAR 2016 SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March ❑April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE? ❑YES ®NO EMAIL DISCHARGING TO CLASS [—]SA ❑HQW OPTIONAL INFO ❑PNA []Trout ®Other Outfall No Date Sample Collected1 {min/dd/yr) Type of Wastewater x (VE, RM, MD) pH (standard] Total Suspended Solids (mg/L} Settleable Solids (mL/L) TPH using method 1664A SGT-HFIVl6 (mg/L) Discharge Duration {minutes} Total Flow , {gallons/day] - - - 6-934 3035 53 (15)6 - - 001 3/29/2016 RM No Flow lalCr��e n s a. %0 L i v 16- 40 MAY 10 ate• .01.-1 V L_ Lj EN I KAL t- IL S MAYAY fl /016 `t R S E L 1 I V r"LU -[LtS v�-V 1 iVl If wastewater systems have not discharged in this quarter — report No Flow' or' No Discharge" here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3If an effluent limit is exceeded twice in a row the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6-9 S U for wastewater discharges to freshwaters and 6 8-8 5 S Ll for discharges to saltwaters Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permrttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permrttee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am avyare that Oere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations ' re of Permrttee) Permit Date 7/1/2010 06/30/2015 (Date) ^ Last Revised 07/13/11 Page 2of2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab## 34 LIMIT VIOLATIONS? YES ❑ NO Part A Wastewater Monitoring Reouirements SAMPLE COLLECTION YEAR 2015 � �, I SAMPLE QUARTER ❑Jul -Sept ®Oct- R�L ` V ONTY arriance I NE NO(704) 372-2930 FEB Q 3 201faDD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS [:]SA❑HQW CENTRAL FILE �WR SECTION INFO Dec ❑Jan -March ❑April -June ❑PNA ❑Trout ®Other Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater {VE, RM, MD) pH (standard} Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A S (mg/L) 6 mg/L) Duration (minutes) Total Flow 7 {gallons/day) - - 6-93 ° 303 s 53 (15)6 - 001 12/17/15 RM N/A N/A N/A ` If wastewater systems have not discharged in this quarter — report No Flow' or No Discharge here Please make sure to mark the sample quarter above Z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste stream is commingled 3If an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months unless DWQ RO staff notifies you to continue monitoring ° pH limits are 6 9 S U for wastewater discharges to freshwaters, and 6 8 8 5 S U for discharges to saltwaters 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5MV1 e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater but 105tead , subject to benchmarks and provisions of Part lV, Section A including the Tiered Response Action 7 Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE) WITH[N 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919)807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons dir-ttly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am awAre that ere_,Ire significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " 10//-/ �2761� (Signature of Permittee) (Date) Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 N PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 �� FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab #! 34 r 2 3 �� CENTRAL FILES LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION Part A Wastewater Momtonne Reowrements SAMPLE COLLECTION YEAR 2015 SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec ❑Jan -March ❑April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE? DYES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW OPTIONAL INFO ❑PNA ❑Trout ®Other, Outfall No Date Sample s Collected (mm/dd/yr) Type of Wastewater z (VE, RM, MD} pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SGT HEM6 (mg/L) Duration (minutes) Total Flow (gallons/day), - - 6-934 3035 53 (15)6 001 09/29/15 RM 76 425 < 1 N/A N/A N/A ' If wastewater systems have not discharged in this quarter— report No Flow" or No Discharge here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3If an effluent limit is exceeded twice in a row the permittee is required to institute monthly monitoring for that parameter for six months unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6 9 S U for wastewater discharges to freshwaters and 6 8 8 5 S U for discharges to saltwaters 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters 10 mg/L for Trout and PNA waters and 30 mg/L for all other water classifications Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 a Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater but instead is subject to benchmarks and provisions of Part IV Section A including the Tiered Response Action Flow rate -can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807 6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware #iat tFjfre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations (Signature of Permittee) Permit Date 7/1/2010-06/30/2015 lJlZf (Date) Last Revised 07/13/11 Page 2 of 2 -10-11 PROCESS WASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT No NC6140000 CERTIFICATE OF COVERAGE NO NCG140342 ® ,r SAMPLE COLLECTION YEAR 2015 FACILITY NAME Hatchery Rd RECEI V ED SAMPLE QUARTER []Jul -Sept ❑Oct -Dec ❑Jan -March PERSON COLLECTING SAMPLES Tony Hardison JUL 2 4 Z015 COUNTY Alamance CERTIFIED LABORATORY Research & Analytical Lab # 34 PHONE NO (704) 372-2930 CENTRAL FILES ADD TO LISTSERVE? DYES ®NO EMAIL LIMIT VIOLATIONS? YES ❑ NO ® DWR SECTION DISCHARGING TO CLASS [:]SA ❑HQW OPTIONAL INFO Part A Wastewater Monitoring Reauirements ®April -June ❑PNA []Trout ®Other _ j Outfall No Date Sample Collected' (mm/dd/yr) Type of Wastewater (VE, RM, MD) pH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A S �m�L� Duration (minutes) Total Flow (gallons/day)' - - - 6-934 3035 53- 001 6/26/15 RM No Flow 1 If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter above Z Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 31f an effluent limit is exceeded twice in a row, the permittee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6 9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwaters s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, bu_'.nsfead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action T Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW",_ "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision to accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons dire responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that th a Ognificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature(of Permittee) Permit Date 7/1/2010-06/30/2015 -7 l6 6, x- (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS IAlASTEWATER -- Quarterly Discharge Monitoring Report GENERAL PERMIT No NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 SAMPLE COLLECTION YEAR 2015 FACILITY NAME Hatchery Rd ¢� \� SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec ®Jan -March []April -June PERSON COLLECTING SAMPLES Tony Hardison �r_cIE v E� COUNTY Alamance CERTIFIED LABORATORY Research & Analytical Lab # 34 l5 PHONE NO (704) 372-2930 MAY 13 Z�ADD TO LISTSERVE? ❑YES ®NO EMAIL LIMIT VIOLATIONS') YES ONO ❑ CENTRAL FILES DISCHARGING TO CLASS []SA ❑HQW 0VUR SECTION OPTIONAL INFO Part A Wastewater Monitonne Reauirements ❑PNA []Trout ®Other Outfall No Date Sample 1 Collected (mm/dd/yr) Type of Wastewater (VE, RM, MD)2 PH (standard) Total Suspended Solids Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge 1664A S l6 (mg/L)mg/L) Duration (minutes] Total How 7 (gallons/day] - - - 6-93,4 Imp 53 (15), - - 001 03/27/1S RM 702 37 <0 1 N/A >1 >1 tL ' If wastewater systems have not discharged in this quarter-- report "No Flow" or "No Discharge' here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE) Raw Material Stockpiles (RM) Mixing Drum Cleanout (MD) Report more than one type if the waste stream is commingled If an effluent limit is exceeded twice in a row the permittee is required to institute monthly monitoring for that parameter for six months unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6 9 S U for wastewater discharges to freshwaters and 6 8 8 5 S U for discharges to saltwaters s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications Permit Date 7/1/2010 06/30/2015 Last Revised 07/13/11 Page 1 of 2 e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMIA areas TPH does not have a limit for wastewater rut"instead is subject to benchmarks and provisions of Part IV Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who d scharge wastewater to HQW waters shall obtain a Summer 7Q10 flow dnd reoort this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Off ice may require an annual flow report on a case b� case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW") TO Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of lave, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons direc y responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am awgrqlthat th#e aAsigniflcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " of Permittee) Permit Date 7/1/2010 06/30/2015 (Date) Last Revised 07/13/11 Page 2 of 2 r -ti PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONSIO YES []NO Part A Wastewater Monitorm2 Reauirements SAMPLE COLLECTION YEAR 2014 SAMPLE QUARTER ®Jul -Sept ❑Oct -Dec ❑Jan -March []April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE7 OYES ®NO EMAIL DISCHARGING TO CLASS [:]SA ❑HQW OPTIONAL INFO ❑PNA ❑Trout ®Other. Outfall No Date Sample Collected) (mm/dd/yr) Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH usingDischarge method 1664A SG g/L) 6 (mg/L) Duration (minutes] Total Flow (gallons/day) 7 - - - 6-934 3035 53 (15)6 - - 001 9/24/14 RM No Flow 1114 CENT HEM ` If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter above 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3 if an effluent limit is exceeded twice in a row, the permfttee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwaters Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 5 TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications 6 Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action 7 Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall beset to 50% of the Summer 7Q10 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permittee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permittee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW". "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW'J_TO ^ Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807-6379 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons Vectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am avypre ththere are significant penalties for submitting false information, including the possibility of fines and Imprisonment for knowing violations " (Signature of Permittee) Permit Date 7/l/2010-06/30/2015 71;?.( � Y (Date) Last Revised 07/13/11 Page 2 of 2 PROCESS WASTEWATER — Quarterly Discharge Monitoring Report GENERAL PERMIT No. NCG140000 CERTIFICATE OF COVERAGE NO NCG140342 FACILITY NAME Hatchery Rd PERSON COLLECTING SAMPLES Tony Hardison CERTIFIED LABORATORY Research & Analytical Lab # 34 LIMIT VIOLATIONS YES [—]NO Part A Wastewater Monitorma Requirements RECEIVED JUL 18 2014 GENTHAL FILES SAMPLE COLLECTION YEAR 2014 DWQIBOG SAMPLE QUARTER ❑Jul -Sept ❑Oct -Dec [])an -March ®April -June COUNTY Alamance PHONE NO (704) 372-2930 ADD TO LISTSERVE7 ❑YES ®NO EMAIL DISCHARGING TO CLASS ❑SA ❑HQW ❑PNA ❑Trout ®Other OPTIONAL INFO Outfall No Date Sample Collected) (mm/dd/yr} Type of Wastewater (VE, RM, MD) PH (standard) Total Suspended Solids (mg/L) Settleable Solids (mL/L) TPH using method 1664A S (mg/L) Discharge Duration (minutes) Total Flow 7 {gallons/day} - - - 6-934 303 5 53 (15)6 - - 001 6/26/14 RM 925 2 N/A N/A >1 >1 001 6/26/14 RM 935 4 N/A N/A >1 >1 Sample for Both Outfalls were sampled in the wrong location, they were sampled from onsite holding areas, not at the point of discharge If wastewater systems have not discharged in this quarter — report "No Flow" or "No Discharge" here Please make sure to mark the sample quarter above Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 1 of 2 2 Report the abbreviation for the type of Authorized Wastewater Discharges here Vehicle and Equipment Cleaning (VE), Raw Material Stockpiles (RM), Mixing Drum Cleanout (MD) Report more than one type if the waste -stream is commingled 3If an effluent limit is exceeded twice in a row, the permrttee is required to institute monthly monitoring for that parameter for six months, unless DWQ RO staff notifies you to continue monitoring 4 pH limits are 6-9 S U for wastewater discharges to freshwaters, and 6 8-8 5 S U for discharges to saltwaters s TSS limits are 20 mg/L for wastewater discharges to HQW waters, 10 mg/L for Trout and PNA waters, and 30 mg/L for all other water classifications e Process wastewater discharges shall only be monitored for TPH when commingled with stormwater discharges from VMA areas TPH does not have a limit for wastewater, but instead is subject to benchmarks and provisions of Part IV, Section A, including the Tiered Response Action Flow rate can be measured continuously or calculated Flow limits for wastewater discharges to HQW waters shall be set to 50% of the Summer 7Q30 Flow as per 15A NCAC 02B 0224 Permittees who discharge wastewater to HQW waters shall obtain a Summer 7Q10 flow and report this information to DWQ If the permrttee cannot obtain a Summer 7Q10 flow for the receiving waters at the discharge location, the permrttee shall notify DWQ, and the DWQ Regional Office may require an annual flow report on a case -by -case basis MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE") WITHIN 30 DAYS OF RECEIPT OF SAMPLE (OR AT END OF MONITORING PERIOD IN CASE OF "NO FLOW-1 TO T Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 807 6379 YOU MUST SIGN THIS CERTIFICAITION FOR ANY INFORMATION REPORTED "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualifieYper operly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons erefor gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware t thpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " �cf` tY (Sidbature of ermlttee) (Date) Permit Date 7/1/2010-06/30/2015 Last Revised 07/13/11 Page 2 of 2 N RECEIVED APR 15 2014 CENTRAL FILES DWOIBOG STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE No NCG140342 STORMWArER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Concrete Supply Co, LLC is hereby authorized to discharge process wastewater and stormwater from a facility located at Concrete Supply Co — Hatchery Road Plant 2250 Iatchery Road Burlington Alamance County to receiving waters designated unnamed tributary to Gum Creek, a class WS-V,NSW water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V, and VI of General Permit No NCG140000 as attached This certificate of coverage shall become effective April 14, 2014 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day April 14, 2014 for Tracy E Davis, P E , Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission t ITOpm iDivision of Water Quality / Surface Water Protection r2 i� National Pollutant Discharge Elimination System NCDENR EWRONMDK "DNM%P LREBOLMM PERMIT NAMEIOWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Year Month Day I Please enter the permit number for which the change is requested NPDES Permit (or) Certificate of Coverage N I C I S 10 N I C I G I 1 14 10 3 4 2 11 Permit status prior to requested change a Permit issued to (company name) CEMEX Construction Matenals Atlantic, LLC b Person legally responsible for permit McSwatn Fast MI Last VP/GM Carolinas Title 101 Young Court Permit Holder Mailing Address Greenville SC 29615 City State Zip (864) 605-9877 (864) 605-9869 Phone Fax c Facility name (discharge) CEMEX — Hatchery Rd d Facility address 2250 Hatchery Rd Address T Burlington NC 27215 City state Zip e Facility contact person Johnny M Tapia (803) 327-2494 First / MI / Last Phone III Please provide the following for the requested change (revised permit) a Request for change is a result of ® Change in ownership of the facility ® Name change of the facility or owner If other please explain b Permit issued to (company name) c Person legally responsible for permit 12@[N-U 62 Of T 1 7 2013 d Facility name (discharge) e Facility address Concrete Supply Co , LLC Henry Batten First MI Last President 1iQe P 0 Box 5247 Permit Holder Mailing Address Charlotte NC 28299 City State Zip (704) 372-2930 Henry Batten@ConcreteSupplyCo coin_ - Phone E-nail Address Hatchery Rd i/ 2250 Hatchery Rd Address Burlington NC 27215 City State Zip f Facility contact person Johnie Alexander First MI Last Johne Alexander@ConcreteSupplyCo (704) 372-2930 com ~y NPDES PERMIT NAME/OWNERSHIP CHANGE FORM L Page 2 of 2 IV Permit contact information (if dilfer(,nt from the pLrson legally responsible, for the permit) Permit contact Johnic AlLxandLr First Mt Last Environmental Manager Title, P O Box 5247 Mailing Address Charlotte NC 28299 City State "Lip (704) 372-2930 Johnu. AtexandLr a e.oncrLtLsUP2l eo uim Phone E mail Addnss V Will the permitted facility continue to conduct the same industrial activities conducted prior to this ownership or name change' x YLs ❑ No (plcd,L explain) VI Required Items THIS APPLICATION WILL BE RETURNED UNPROCESSED IF I1 EMS ARE INCOMPLETE OR MISSING X This completed application is required for both name change and/or ownership change request, X LLgdl documentation of thL transtur of ownership (suLh as relLvant pages of a contract dLed, or a bill of ,ale) is required for an ownership change request ArtiLles of incorporation arc not sufficient loran owns rshlp change, The ccrtifiLations below must be completed and signed by both the permit holder prior to the change,, and the new applicant in the case of an ownership change request For a name change request, the signed Applicant's Certification is ,ufficient PERMITTEE CERTIFICATION (Permit holder prior to ownership chang(,) I, Lar MCSwaln, attest that this application for a name/ownership change has bcLn reviewed and is accurate and Lomplete to the bL,t of my knowledge I understand that it all required parts of this apphLation dre not completed and that it all required supporting information is not included, this application packagL will be returned as incomplete, c , Signature APPLICANT CERTIFICATION 9 /9 Za/3 Date I, Henry Bdtten, attest that this application for a name/ownership change, ha, been rLviewLd and is accurate. and Lomplete to the bc,t of my knowledge I understand that it all required parts of this application arc, not completed and that it all rcquirLd supporting information t, not included, thi, dpphLdtion packagL will be returned a, incompletL // </-3 d%� 9- z?,zai3 rdSignature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO Division of WatLr Quality SurfaLL WatLr Protection Section 1617 Mail Scrv1Le CLnter Raleigh, North Carolina 27699-1617 Revised 7/2008 7AA� . it NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Mr Johme Alexander Concrete Supply Co, LLC P O Box 5247 Charlotte, NC 28299 Dear Mr Alexander John E Skvarla, III Secretary April 14, 2014 Subject NPDES General Permit NCG140000 Certificates of Coverage -Multiple Concrete Supply Co, LLC Formerly CEMEX Construction Materials Atlantic, LLC Counties - Multiple Division personnel received your request to revise your stormwater permit Certificates of Coverage to accurately reflect your new company and/or facility name Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co, LLC The terms and conditions contained in the General Permit remain unchanged and in full effect These revised Certificates of Coverage are issued under the requirements of North Carolina General Statutes 143-215 l and the Memorandum of Agreement between North Carolina and the U S Environmental Protection Agency If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 807-6300 Sincerely, ORIGINAL SIGNED 131 KEPI PICKLE for Tracy E Davis, P E, CPM, Director Division of Energy, Mineral and Land Resources cc Mooresville RO, Z Khan Winston-Salem RO, M Gantt Fayetteville RO, B Cole Asheville RO, L Herbert Raleigh RO, J Holley Division of Energy, Mineral, and Land Resources Energy Section - Geological Survey Section - Land Quality Section 1612 Mad Service Center, Raleigh, North Carolina 27699-1612 - 919 707 92001 FAX 919 715 8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet htt !! ortal ncdenr org/web/Irl An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Deborah Reese, DEMLR Budget Office — please update billing info Stormwater Permitting Program Files Central Files Mecklenburg County DEP, Water Quality, 700 N Tryon Street, Charlotte, NC 28202 Wake County Environmental Services, Attn Eric Green, P O Box 550, Raleigh, NC 27602